Kumar Peeyush, Rehman Samar, Rana Anil Kumar Singh
Department of Surgery, Dr Ram Manohar Lohia Hospital and Post Graduate Institute of Medical Education and Research, New Delhi, India.
BMJ Case Rep. 2018 May 26;2018:bcr-2018-224253. doi: 10.1136/bcr-2018-224253.
Foreign bodies in the rectum are commonly confronted worldwide in the surgical emergency. Such a situation arises either accidentally or for autoerotic purposes. A wide variety of foreign objects have been reported in the literature and this usual object would add to the reports for its unusual location. We report a case of a 26-year-old young man with accidental insertion of hand shower in the rectum and no signs of any active bleed or peritonism. Extraction was done successfully in the operating room under general anaesthesia, with an uneventful postprocedure period and the patient was discharged after 48 hours of observation. Rectal foreign bodies can be of wide variety and can lead to life-threatening conditions. An orderly approach is required for diagnosis, management and evaluation in the postprocedure period.
直肠异物在全球外科急诊中较为常见。这种情况可能是意外发生,也可能是出于自慰目的。文献中已报道了各种各样的异物,而这个不同寻常位置的异物会增加此类报道。我们报告一例26岁青年男性,意外将手持淋浴喷头插入直肠,且无任何活动性出血或腹膜炎体征。在全身麻醉下于手术室成功取出异物,术后恢复顺利,观察48小时后患者出院。直肠异物种类繁多,可导致危及生命的情况。术后需要有序地进行诊断、处理和评估。